EBAR Abstracting Company, Inc.

Exchange Corner Building 3rd Floor

107 V.A. Rufino Street, Legaspi Village
1229 Makati City, Philippines
Tel (+632) 9764495

JOB APPLICATION FORM

Position Applied

Have you appeared for an interview at Innodata before also: Yes ( ) No ( )

If Yes, when and for position

Recent Passport Size
(Please specify the date or month along with year and the position)
Color Photograph

Full Name

(First Name) (Middle Name) (Last Name)

Landline No.
Email: Mobile No:

Permanent Address Date of Birth:

Age (in years):

Gender:

Corresponding/Present Address(If different from above) Nationality:

Religion:

Civil Status:

Blood Group:

Have you ever been employed by Innodata before? Yes( ) No( )

If Yes, then: Emp. ID: Position: Project: Year of employment:

Do you have relatives currently employed with Innodata? Yes( ) No( )

If Yes, then Emp. ID: Name: Relationship:

How did you get to know our vacancy?(Please select the option and share the source name)
Newspaper: Job Portal: HR Team:

Reference: Job Fair/Campus: Consultant:

Have you ever been arrested, indicted or summoned into court as a defendant in criminal proceedings or convicted, fined or
imprisoned for violation of any law (excluding minor traffic violation)? Yes( ) No( )

If yes, please explain:

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Have you ever been seriously ill, injured or operated? Yes ( ) No ( )

If yes, please explain

Have you served in the Military? Yes ( ) No( ) If yes, have you secured discharge legally? Yes( ) No ( )

Will you accept any work shift the company may assign to you? Yes( ) No( )

If No, please explain:

Person to contact in
case of emergency: Name: Relationship: Contact:

Family Details:
Name Age Relationship Occupation

ACADEMIC/TECHNICAL/PROFESSIONAL(from Matriculation onwards)

Year Attended
School/College/University Diploma/Degree/Cours Percentage/Grade
Specialization
Name e Name From To Secured
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Details of Employment Total Experience: Notice Period(in days):

(Starting from current /last employment)
Relevant Experience: Expected Salary(per annum):
Compensation
Year and Month Position Title Reason For Leaving
(Per Annum)
Employer’s Name and
Address
From To Starting Leaving Starting Leaving

Provide names, address and contact numbers for at least 3 references (excluding your relatives & friends)
→One being your superior in your current/previous employment (if any) who knows you well.
→The other must be a colleague or a former officemate.
→The other must be person who can verify your address for correspondence, probably your neighbor/landlord/tenant.
Name Occupation Complete Address Contact Number
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I certify that the information contained in this application are accurate, true and complete and I authorize EBAR Abstracting Company, Inc
(EACI). or its authorized representative to investigate any statement contained herein and contact any person or companies named in this
application. I understand and agree that any misinterpretation or omission of facts shall be considered sufficient cause for this application to
be void and also ground for immediate dismissal should these misinterpretations or omissions come to light at any time during my tenure with
EACI .

I hereby also authorize any person or companies named in this application to release EACI or its authorized representative any and all
information concerning myself, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing
the same to you.

Confidentiality and Non-Disclosure. All information and materials, in whatever format, disclosed to me, directly or indirectly, by the
Company and all information and materials, in whatever format, which I have otherwise obtained or discovered as a result my application for
employment with the Company will be considered sensitive, confidential and proprietary (“Confidential Information”). I agree not to disclose to
any person or entity, without the written consent of the Company, any Confidential Information, and will not directly or indirectly use any such
Confidential Information. I may not use Confidential Information to benefit myself or any third person or party, or to compete with the Company
or any third party.

Signature of Applicant Date